| |
935 Mcdonald St Waycross GA 31501-4651 | |
(912) 285-5080 | |
(912) 287-1568 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 935 Mcdonald St, Waycross, Georgia |
Authorized Official Name and Position | Ola Smith (CEO) |
Authorized Official Contact | 9122870301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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218 Quarterman St Waycross GA 31501-3547 Ph: (912) 287-0301 | 935 Mcdonald St Waycross GA 31501-4651 Ph: (912) 285-5080 |
NPI Number | 1578822433 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 06/05/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578822433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southeast Georgia Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1362 | |
Peter Wrobel Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1720 Old Reynolds St, Waycross, GA 31501 Phone: 912-283-1359 Fax: 912-283-1360 | |
Southeast Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Riverside Dr, Waycross, GA 31501 Phone: 912-287-1555 | |
Satilla Family Medicine, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oneida St, Waycross, GA 31501 Phone: 912-338-0065 Fax: 912-338-0920 |